The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Hillcrest Health & Rehab
Bellevue, NE · Medicare-certified · 151 beds
Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall
Hillcrest Health & Rehab in Bellevue, NE has a 2 out of 5 overall star rating, with 2-star health inspection and quality ratings but 4-star staffing. It reports 4.59 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $51,150 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.5896 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $51,150recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5896.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.78
- Nurse aides
- 3.20
- Weekend nursing
- 4.14
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 24%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
24.3%22%Improving
Residents with a fall causing major injury
6.6%3.2%Improving
Residents with pressure ulcers (bedsores)
8.1%2.7%Improving
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
3.9%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28%26.5%Improving
Residents whose ability to walk got worse
34.6%46%Worsening
Long-stay residents on antianxiety or sleep medication
24.1%21.6%Improving
Short-stay residents newly given an antipsychotic
0.5%0.6%No change
Residents with a long-term catheter
0%1.6%Worsening
Residents with new or worsening incontinence
27.7%40.1%Worsening
Residents with depressive symptoms
0%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—80.5%—
Short-stay residents given the pneumonia vaccine
94%97.9%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- PENALTY
A federal fine of $51,150 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $51,150 in total fines.
- $51,150
Federal fine
Dec 30, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 110 residents on an average day (73% of 151 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.